Individual
MRS. ROBERTA LOUISE BROWN BRUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., L.M.T.,HTCP
Contact information
Practice address
5 PERRYRIDGE ROAD, GREENWICH HOSPITAL, GREENWICH, CT 06830
(203) 863-3615
Mailing address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4608
(203) 863-3615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
E39549
CT
163WM1400X
Nurse Massage Therapist (NMT)
E39549
CT
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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